Social media is where people often put a selective best on display. But #medtwitter - this is what I'm hearing behind the scenes.
I'm posting this thread so you know you're not alone, and you deserve better than this:
[1/🧵]
I'm reading comments on a registration form re: an upcoming session about nonclinical physician careers.
I asked why they were interested in attending.
They said:
[2/]
😕 Exhausted. All the time.
🙁 Work is more demanding without the same feeling of satisfaction
😕 I feel replaceable. Expendable.
🙁 Need better life-work balance. Have been...
[3/]
...so burned out for a long time now.
🙁 Tired of the grind, lack of autonomy.
🙁 I love medicine, but almost nothing I do is actually practicing medicine anymore
🙁 I want more flexibility, better quality of life.
[4/]
(Hey, these ones aren't bad...)
🙁 Not ready to retire but need a change
🙂 Want to learn new skills/use in a different way
🙂 Looking for more creativity, autonomy, leadership potential, less bureaucracy
[5/]
🙁 New culture/leadership - so much has changed in my department.
🙁 We are so undervalued.
😕 The joy is gone.
😕 We're scapegoat for broken healthcare system
😕 Doesn't seem like the environment will improve anytime soon
[6/]
🙁 Overwhelmed...no longer able to pursue the parts of my career which I enjoyed so much
🙁 Miss my family, they mean more than anything
🙁 Medicine is changing for the worse
These are quotes from real docs. It's heartbreaking. Maybe the most of all was
[7/]
"Sorry I let that all loose..."
To that, I say:
I'm sorry you are keeping all that bottled up, and living a life that sounds so depleted of joy and meaning that was once there.
And if you're feeling the same way, I'm just posting this so you know - you're not alone.
[8/]
If you're a program director or administrator, you already know this right?
If not, please go back to the top and read the words again.
Your doctors, nurses, clinicians - and frankly everyone - deserve better than this.
They've sacrificed. They've earned it.
[9/]
If this sounded like you, please know that you're not alone in feeling this way.
I hear you. I see you. I know it can be different.
You are NOT alone, and you deserve better than this.
Just had to write it, so you'd know.
[end/]
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Early on Day 3 of #ANES20 - you may need to zoom in! Our virtual community has grown! Who do you see? Do you see yourself?
(a visual conference 🧵/)
A metrics update - fewer users than prior years, to be sure, but very respectable engagement and activity. Over 13 million impressions :) This speaks to the collective followers of the users who are #tweetingthemeeting #ANES20
What's getting the most engagement? Here are some of the top conversations and images shared. Did you attend those sessions? What was the best part? #ANES20
🦠Thoughts about a #COVID19 vaccine - it's not as simple as you may think. 💉
Here are 7 sets of questions that need to be answered (and surely there are more, so feel free to add your own):
[a thread]
1) Will the vaccine candidates actually work?
Yes, there are multiple candidate vaccines and trials underway. But Phase III trials are just starting. Even with promising early phase data showing an immune response - will that response be enough?
2) What does 'efficacious' mean for a vaccine? Are we talking complete immunity, or simply reduced disease severity? There's a range of possibilities, and while anything may be better than nothing, this will impact how we live after 'we have a vaccine'
Time to resume elective surgery cases? A thread summarizing new guidance out today from the @AmCollSurgeons#COVID19
This document intro states that peak COVID rates have already been reached, or will be within a few weeks, depending on region...
[link at end of thread]
They offer four categories, each with specific issues that must be addressed locally before elective surgery may be safely resumed.
Categories: 1. COVID-19 Awareness 2. Preparedness 3. Patient Issues 4. Delivery of Safe High-Quality Care
For the 'awareness' category, the specific issues are:
✅Knowing your local COVID-19 numbers, including prevalence and incidence
✅Knowing local isolation mandates
✅Knowing your diagnostic testing availability
✅Knowing testing policies for pts and HCWs
When we absolutely can't #StayHome, my mask protects you a bit, and your mask protects me a bit.
As @Surgeon_General says, it's not a substitution. It's a boost.
A personal mask is not the same as a medical mask, and they have different purposes.
True, a bandana or cloth mask won't filter out airborne particles. Unless you are a healthcare professional taking care of someone with #COVID19, you probably don't need that.
A regular medical/surgical mask is designed to protect the environment from the person wearing it.
It's to protect your wounds and surgical incisions from the nurses and doctors caring for you. It helps them keep their droplets to themselves.